Utilization, patency, and complications associated with vascular access for hemodialysis in the United States

Journal of Vascular Surgery
Isibor ArhuideseMahmoud B Malas

Abstract

This study examines the utilization and outcomes of vascular access for long-term hemodialysis in the United States and describes the impact of temporizing catheter use on outcomes. We aimed to evaluate the prevalence, patency, and associated patient survival for pre-emptively placed autogenous fistulas and prosthetic grafts; for autogenous fistulas and prosthetic grafts placed after a temporizing catheter; and for hemodialysis catheters that remained in use. We performed a retrospective study of all patients who initiated hemodialysis in the United States during a 5-year period (2007-2011). The United States Renal Data System-Medicare matched national database was used to compare outcomes after pre-emptive autogenous fistulas, preemptive prosthetic grafts, autogenous fistula after temporizing catheter, prosthetic graft after temporizing catheter, and persistent catheter use. Outcomes were primary patency, primary assisted patency, secondary patency, maturation, catheter-free dialysis, severe access infection, and mortality. There were 73,884 (16%) patients who initiated hemodialysis with autogenous fistula, 16,533 (3%) who initiated hemodialysis with prosthetic grafts, 106,797 (22%) who temporized with hemodialysis catheter pr...Continue Reading

Citations

Jan 8, 2020·Seminars in Dialysis·Christine C Welles, Lilia Cervantes
Aug 30, 2019·The Journal of Vascular Access·Saravanan BalamuthusamyPaul T Conway
May 7, 2020·The Journal of Vascular Access·Khaled A ObeidatRa'fat A Tawalbeh
Aug 14, 2019·Current Opinion in Nephrology and Hypertension·Christine C Welles, Lilia Cervantes
Jun 23, 2020·The Journal of Vascular Access·Kotaro SuemitsuMasaaki Izumi
Oct 9, 2020·Seminars in Dialysis·Robert S Brown
Dec 23, 2020·The Journal of Vascular Access·Paschalis Gavriilidis, Vassilios Papalois
Jul 25, 2020·Journal of Vascular Surgery·Victor CastroJeffrey J Siracuse
Apr 28, 2020·Annals of Vascular Surgery·Isibor J ArhuideseMahmoud B Malas
Aug 10, 2020·Annals of Vascular Surgery·Ying-Sheng LiTa-Wei Su
Feb 26, 2019·Journal of Vascular Surgery·Robert J BeaulieuMahmoud B Malas
Oct 18, 2020·Journal of Vascular Surgery·Tyler J RyanJeffrey J Siracuse
Mar 25, 2021·Seminars in Vascular Surgery·Ryan GuptaJeniann A Yi
Apr 16, 2021·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kenneth J WoodsideRonald L Pisoni
Jul 6, 2021·Clinical Kidney Journal·Peter BalážStephen O'Neill
Jul 23, 2021·Jornal Vascular Brasileiro·Seleno Glauber de Jesus-SilvaRodolfo Souza Cardoso
Jul 24, 2021·Journal of Vascular Surgery·Isibor J ArhuideseMahmoud B Malas
Aug 24, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Ahram HanSeung-Kee Min
Nov 14, 2021·Journal of Immigrant and Minority Health·Brittney S Lange-MaiaElizabeth B Lynch

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